Although monotherapy is generally recommended as the treatment of choice, treatment resistance of patients with psychosis, cognitive, mood and anxiety disorders represents a significant clinical problem. In this context, augmentation and combination strategies are commonly employed to address this problem. Although multiple medication use common in psychiatric practice, reasons, efficacy and safety for polypharmacy, and augmentative strategies have remained unclear. It remains unclear if there is an evidence base to support polypharmacy. Furthermore, excessive and inappropriate use of psychotropic medications has been recognized as a public health problem. This volume set is the first comprehensive, clinically oriented, reference on the multiple medication use to treat psychotic, cognitive, mood and anxiety disorders.

In this unique text, ten cases of music therapy with autistic children (tamariki takiwatanga) are critiqued through the eyes of family members and other autism experts. Rickson uses her wealth of experience to contextualise their rich observations in a thorough review of research and practice literature, to illustrate the ways music therapists engage autistic children in the music therapy process, highlight the various ways music therapy can support their health and well-being, and demonstrate how music therapy processes align with good practice as outlined in the New Zealand Autism Spectrum Disorder Guideline.

The diagnosis and treatment of the elderly psychotic is problematical due to the fact that many of them have either Alzheimer's disease or vascular disease-related dementia. Expert contributors present the newest research based on clinical studies of the handling and treatment of elderly patients whose psychosis may be directly related to an incurable organic disease. They offer a multi-faceted approach to the treatment of these patients ranging from the medical, neurological, psychopharmacological, and therapeutic to social and family considerations. Assessment and Treatment of the Elderly Neuropsychiatric Patient also includes chapters dealing with attitudes toward death and dying as well as psychoanalysis.

This book explores the analyst's countertransference experience in clinical settings from a number of theoretical perspectives in order to develop a transtheoretical definition of countertransference. Stemming from an examination of the definition of countertransference itself, the author utilizes a philosophical hermeneutic approach to ask how pathological countertransference develops, how analysts separate themselves from the patient's experience, and what analysts should do to prevent their countertransference response from interfering with treatment. Through the unique hermeneutic methodology, philosophical themes within selected writings are explored as a way of gaining a deeper meaning and understanding of countertransference. By re-interpreting these selected writings in a new light, the book develops a transtheoretical definition and approach to countertransference. As such, the author offers a timely reassessment of the meaning and understanding of countertransference as it has evolved over the past century, going from being considered an obstacle to treatment brought on by the analyst's unconscious conflicts to being understood as a way of communicating and understanding the patient's unconscious material. It also provides a unique pathway through various depth psychological, therapeutic, and theoretical approaches to countertransference, foregrounding the significance and therapeutic value of the concept and seeking a new transtheoretical definition. This volume will appeal to scholars and researchers of psychology and mental health.

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.

The subject of personality-what makes each of us unique and different from one another-has long been a topic of universal fascination. From a medical perspective, research on personality disorders has expanded with the advent of standardized diagnostic systems. This continuing and increased activity and progress in the field spurred the development of this third edition of The American Psychiatric Association Publishing Textbook of Personality Disorders. With an emphasis on updating the information most relevant to clinicians, this new edition features contributions from established experts in the field as well as a new generation of scientists. Dozens of tables, illustrative figures, and real-life case examples summarize the vast data that continue to accumulate in five key areas: * Clinical concepts, including theories of personality disorders, as well as their manifestations, assessment, and diagnosis. This opening section also describes the Alternative DSM-5 Model for Personality Disorders in detail.* Risk factors for, and the etiology and impact of, personality disorders. This section of the book examines data on prevalence, sociodemographics, and levels of functional impairment associated with personality disorders. It offers both a developmental and a genetic/neurobiological perspective and describes the symptomatic and functional outcomes of personality disorders.* Treatment options across therapeutic modalities. A new, cutting-edge chapter argues for the early identification of borderline psychopathology in children and young adolescents, in an effort to prevent full-blown disorder later in life. Additional chapters delve into an array of individual psychotherapies, pharmacotherapeutic options, and group, family, and couples therapies. Guidance on forming and maintaining a therapeutic alliance and on avoiding boundary violations in treating patients with personality disorders is provided.* Special problems, populations, and settings, including suicide, substance use disorders, antisocial behavior, personality pathology in general medical settings, and personality disorders among active-duty military.* The usefulness of translational research to deepen understanding of the biopsychosocial nature of the personality disorders, particularly borderline personality disorder. This comprehensive textbook is an essential resource for clinicians looking to stay on the vanguard of a rapidly growing field.

This spin-off from Stephen M. Stahl's new, completely revised, and fully updated sixth edition of the Prescriber's Guide covers the most important drugs in use today for treating depression. Now established as the indispensable formulary in psychopharmacology, easy to navigate and easy to use, the Prescriber's Guide combines evidence-based information with clinically informed guidance to support clinicians in making the most effective prescribing decisions for the good of their patients. Incorporating information on the newest indications, new formulations, new recommendations and new safety data, this edition continues to provide the essential practical support required by anyone prescribing in the field of mental health.

First published in 1984. This book was written in order to share the authors' experience as family therapists not only with professionals but with families. We live in an age of anxiety, fear of violence and questioning of fundamental values. Confidence in traditional values is being challenged. Waves of prejudice seem to endanger our trust in one another and our loyalty to society. The strength of family relations or their effect on individuals is extremely difficult to measure. The authors of this book believe that observable changes in the family do not necessarily alter the member to- member impact of family relationships. Invisible loyalty commitments to one's family follow paradoxical laws: The martyr who doesn't let other family members work off their guilt is a far more powerfully controlling force than the loud, demanding bully. The manifestly rebellious or delinquent child may actually be the most loyal member of a family.

* Chapters bring the voices of LGBTQ+ into the spotlight through art and contribute to experiential learning, allowing for more understanding of the lives of LGBTQ+ peoples within the dietetic profession * Includes arts-based research that has the capacity to acknowledges multiple truths within the world and to give voice and representation to LGBTQ+ individuals * Topic cover eating disorders, body image, creative practices in nutrition counseling, weight stigma, and gendered understandings of nutrition. Special attention is paid to experiences of marginalization, homophobia, heteronormativity within dietetics and nutritional healthcare, and the intersections of oppression, poverty, social justice, and politics

The Disordered Couple, Second Edition, focuses on couples with psychiatric disorders and/or relational disorders that significantly impact their relationship, mental health, and well-being. It is the first and only book to provide mental health professionals and trainees with cutting-edge, culturally sensitive, and evidence-based clinical strategies for working effectively with disordered couples. While maintaining its focus on disordered couples, this second edition adds several new features and considers key trends that have impacted the structure of couples and families since the original edition appeared, including the influence of social media and technology, legalization of same-sex marriage, increases in the availability of Internet pornography, and changes in societal norms regarding romantic relationships. The disorders covered reflect revisions to the DSM-5 and both psychiatric disorders and relational disorders, and the book highlights clinically relevant and culturally sensitive intervention practices for working with a wide variety of disordered couples. Chapters also include a section on specific multicultural implications for the type of couple discussed. With proven strategies for effectively assessing, conceptualizing, and implementing treatment with disordered couples, this book is an essential reference for marital, clinical, counseling, and psychiatry professionals, as well as trainees in these areas. The Disordered Couple, Second Edition, will be of great assistance to mental health professionals in providing disordered couples with the most up-to-date, culturally sensitive, and relevant clinical care.

This book provides a unique overview on the most recent developments in initially diverse areas of behavioral genomic research that now start to intertwine to provide more detailed insights into the complex nature of behavior in health and disease. It focuses on our current understanding of genetic and epigenetic mechanisms of brain function and how they contribute to the complex formation of behavioral traits and psychiatric disorders. Readers experience diverse perspectives of the contributing authors starting from the genetic viewpoint and the effort to establish functional connection between genetic variants and behavioral phenotypes. Particular attention is given to the broad spectrum of epigenetic mechanisms and behavior. The chapter 'Role of MicoRNAs in Anxiety and Anxiety-Related Disorders' is available open access under a CC BY 4.0 license at link.springer.com

'A powerful and impassioned defence of psychiatry, urging the Left to confront the harsh realities of mental illness' - William Davis, author of The Happiness Industry A new edition of one of the most significant and credible critiques of the anti-psychiatry movement. As relevant today as it was when first published in 1982, the book changed the conversation on mental health and illness, demanding that we assess its relationship to the wider decay of social institutions. Dissecting the work of popular anti-psychiatric thinkers, Erving Goffman, R.D. Laing, Michel Foucault and Thomas Szasz, Sedgwick exposed the conservative undercurrents and false hopes represented by the alternative psychiatry of the sixties and seventies, challenging the very real impact it had on our collective responsibility to look after the mentally ill. With a new introduction that highlights the relevance of Sedgwick's demands for modern mental health movements, the practice of psychiatry and for left-wing activists, this new edition further cements PsychoPolitics' cult classic status.

For anyone who needs to understand, assess or manage selective mutism, this is a comprehensive and practical manual that is grounded in behavioural psychology and anxiety management and draws on relevant research findings as well as the authors' extensive clinical experience. Now in its second edition and including new material for adolescents and adults, The Selective Mutism Resource Manual 2e provides: an up-to-date summary of literature and theory to deepen your understanding of selective mutism a wealth of ideas on assessment and management in home, school and community settings so that its relevance extends far beyond clinical practice a huge range of printable online handouts and other resources case studies and personal stories to illustrate symptoms and demonstrate the importance of tailored interventions. This book is essential reading for people who have selective mutism as well as for the clinicians, therapists, educators, caseworkers and families who support them.

This book presents the state of the art regarding the use of non-invasive brain stimulation (TMS and tDCS) in the research and treatment of neuropsychiatric disorders. The contributions, all of which were prepared by internationally recognized experts in the field, are divided into two main sections (for TMS and tDCS, respectively) across diagnoses, following an introductory section on the mechanisms of action and neurophysiological background. Neuropsychological perspectives and approaches are provided as well. The book is ultimately intended to offer a unique, integrated approach to the use of non-invasive brain stimulation across the clinical neurosciences, providing a comprehensive and updated perspective that will benefit psychiatrists, neurologists, clinical psychologists and neurophysiologists alike.

Early intervention (EI) is the single most important advance in mental health care in recent decades, representing a key shift in both theoretical standpoint and service delivery. Early Intervention in Psychiatry clearly describes best practice for extending this approach to all psychiatric disorders. Beginning with the rationale for EI, it informs interventions in people from all age groups across the lifespan, from perinatal to old age. It addresses EI in specific settings, such as primary health care, community health, the general hospital, non-government agencies, and in social movements, and for specific disorders including depression and anxiety, alcohol and substance use, childhood disorders, psychoses, bipolar disorders, eating disorders and borderline personality disorders. Early Intervention in Psychiatry is an essential guide for all psychiatrists, general practitioners, family physicians and public health doctors. It is also a valuable resource for mental health professionals and primary care colleagues, including nurses, social workers, psychologists, occupational therapists, vocational rehabilitation specialists, peer and support workers and for mental health commissioners and policy-makers.

Sex matters! Are there differences between the sexes when it comes to brain function and the behaviours that result? This volume attempts to answer this fundamental question. If the answer is 'yes' then this should impact upon our approach to treating mental illness in humans, and to modelling it in animals, as we look for aetiological and pharmacological solutions.

Recent progress in brain science has been remarkable, especially with regard to advances in the area of neuroscience. Particularly in the past decade, there have been many important discoveries about signal transduction in the brain. With this background, biological research in affective disorders has become well developed in relation to neural signaling. However, this field is fairly hard to understand comprehensively, and there is relatively little integrative work with clinical psychiatry in spite of the involvement of a wide variety of scien tific disciplines. This monograph brings together up-to-date reviews from several young Japanese scientists who work in basic and clinical neuroscience. The intention is to explain in plain language the information that has evolved on signal transduction in terms of the biological abnormalities and mechanisms of anti depressants. The model shown on the cover (and on page 24) is intended to help the reader understand signal transduction in the brain and the patho physiology of affective disorders as well as the mechanisms of antidepressants.

Juvenile justice centers have a long tradition as an unfortunate stop for young offenders who need mental health care. Reports estimate that as many as 70% of the youth in detention centers meet criteria for mental health disorders. As juvenile justice systems once again turn their focus from confinement to rehabilitation, mental health providers have major opportunities to inform and improve both practice and policy. The Handbook of Juvenile Forensic Psychology and Psychiatry explores these opportunities by emphasizing a developmental perspective, multifaceted assessment, and evidence-based practice in working with juvenile offenders. This comprehensive volume provides insights at virtually every intersection of mental health practice and juvenile justice, covering areas as wide-ranging as special populations, sentencing issues, educational and pharmacological interventions, family involvement, ethical issues, staff training concerns, and emerging challenges. Together, its chapters contain guidelines not only for changing the culture of detention but also preventing detention facilities from being the venue of choice in placing troubled youth. Key issues addressed in the Handbook include: Developmental risks for delinquency. Race and sex disparities in juvenile justice processing. Establishing standards of practice in juvenile forensic mental health assessment. Serving dually diagnosed youth in the juvenile justice system. PTSD among court-involved youth. Female juvenile offenders. Juvenile sex offenders. The Handbook of Juvenile Forensic Psychology and Psychiatry is an essential reference for researchers, professors, allied clinicians and professionals, and policy makers across multiple fields, including child and school psychology, child and adolescent psychiatry, developmental psychology, criminology, juvenile justice, forensic psychology, neuropsychology, social work, and education.

With In Search of Good Form, Joseph Zinker emphasizes seeing and being with as keys to a phenomenological approach in which therapist and patient co-create and mutually articulate their own experiences and meanings. He considers Gestalt field theory, the Gestalt interactive cycle, and Gestalt concepts.

The book covers important topics in the psychiatric genetics (PG) field. Many of these have been overlooked in mainstream accounts, and many contemporary PG researchers have omitted or whitewashed the eugenic and "racial hygiene" origins of the field. The author critically analyzes PG evidence in support of genetic claims which, given the lack of gene discoveries, are based mainly on the results of psychiatric twin and adoption studies. Given that the evidence in favor of genetic influences is much weaker than mainstream sources report, due to serious issues in twin and adoption research, the author points to environmental factors, including trauma, as the main causes of conditions such as schizophrenia.

In this text mental illness is examined from the perspectives of pathology and pharmacology. Using case studies, it focuses on the major mental disorders, addressing their pathologies and pharmacological treatments. Topics include: depression; anxiety and sleep disorders; obsessive-compulsive disorder, panic disorder and phobic disorders; psychosis and schizophrenia; dementia; substance abuse; and physical conditions which can mimic mental illness.

This innovative book provides a new conceptual analysis of loneliness - a condition associated with severe health consequences, including increased morbidity and early death. Arguing that social connection is not the only answer, it explores pathways for transforming loneliness to healthy solitude. The first part of the book draws on the humanities and arts, including psychology, philosophy, and literature to analyse the common, and potentially serious, problem of loneliness. It makes the case that the condition is less a deficiency than a state of self-disconnection that modernity feeds through social forces. The second part of the book looks at how person-centred health care can help educate persons to transform loneliness into healthy solitude. It provides an analysis of self-connection and spiritual connection, discussing how these forms of contact can mitigate risks associated with both lack of social connection, and social connection itself, such as self-disconnection and rejection by others. It goes on to demonstrate that connection to the self and spirit can make aloneness a resource and facilitate access to benefits of connecting with others. This thought-provoking book provides students, scholars, and practitioners from a range of health and social care backgrounds with a new way of thinking about, researching, and practising with lonely people.